Shannon Holley-smith, BSN, RN is a
Registered Nurse based in Newport, Minnesota. Shannon Holley-smith is licensed to practice in Minnesota (license number 208311-9) and her current practice location is
1902 10th Ave, Newport, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(612) 876-5895.
NPI number for Shannon Holley-smith is 1861093585 and her current mailing address is 1902 10th Ave, Newport, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861093585.
Provider's Profile
Full Name | Shannon Holley-smith |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 1902 10th Ave, Newport, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861093585
- Provider Enumeration Date: 11/09/2020
- Last Update Date: 11/09/2020
Medical Identifiers
Medical identifiers for Shannon Holley-smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861093585 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 208311-9 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Holley-smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shannon Holley-smith, BSN, RN 1902 10th Ave, Newport, MN 55055-1556 Ph: (612) 876-5895 | Shannon Holley-smith, BSN, RN 1902 10th Ave, Newport, MN 55055-1556 Ph: (612) 876-5895 |
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